MICHEAL BLACK, L.M.T.
Massage Therapist
Active
Individual
NPI: 1760511422
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 261943-4701 (UT) |
Frequently Asked Questions
NPI 1760511422 is the National Provider Identifier for MICHEAL BLACK, L.M.T., a Massage Therapist provider located in South Jordan, UT. This NPI was enumerated on March 5, 2007.
MICHEAL BLACK, L.M.T. practices at 10358 S REDWOOD RD, South Jordan, UT 84095.
Quick Facts
- NPI
- 1760511422
- Type
- Individual
- Enumerated
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
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